Jeff Kindler's Cen­trex­ion re­news bid to make pub­lic de­but

Jef­frey Kindler’s plan to take his biotech — which is de­vel­op­ing a slate of non-opi­oid painkillers — pub­lic, is back on.

The Boston based com­pa­ny, led by for­mer Pfiz­er $PFE chief Kindler, orig­i­nal­ly con­tem­plat­ed a $70 mil­lion to $80 mil­lion IPO last year— but even­tu­al­ly post­poned that strat­e­gy. On Wednes­day, the com­pa­ny re­vived its bid to make a pub­lic de­but in a fil­ing with the SEC — al­though no pric­ing de­tails were dis­closed.

With the Unit­ed States strug­gling to con­tain the plague of opi­oid abuse, mis­use and ad­dic­tion, states and reg­u­la­to­ry agen­cies are work­ing on cut­ting back pre­scrip­tion painkiller use, as well as cas­ti­gat­ing the pur­port­ed ar­chi­tects of the cri­sis — the need for non-opi­oid anal­gesic op­tions are im­per­a­tive.

Cen­trex­ion’s ap­proach to chron­ic pain man­age­ment is to tar­get the ori­gin of the pain sig­nal. Opi­oids work by bind­ing to spe­cif­ic re­cep­tors found across the body in­clud­ing in the brain and spinal cord, rather than the spe­cif­ic source of chron­ic pain in the pe­riph­er­al ner­vous sys­tem, while NSAIDs and steroids tar­get in­flam­ma­tion.

The com­pa­ny’s lead ex­per­i­men­tal drug is CN­TX-4975, a man-made ver­sion of a chili plant ex­tract called trans-cap­saicin, and it’s en­gi­neered to work by in­ac­ti­vat­ing lo­cal pain fibers trans­mit­ting sig­nals to the brain. It is in late-stage de­vel­op­ment for use in mod­er­ate to se­vere pain due to knee os­teoarthri­tis (OA). One Phase III tri­al is ex­pect­ed to read­out in the first quar­ter of next year, while the oth­er in the third quar­ter of 2020.

Al­though the com­pa­ny has stud­ied CN­TX-4975 in Mor­ton’s neu­ro­ma and in ca­nine OA, none of these in­di­ca­tions are cur­rent­ly be­ing pur­sued as Cen­trex­ion pri­or­i­tizes the knee OA pro­gram, it said.

In ad­di­tion, the com­pa­ny has three oth­er drugs-in-de­vel­op­ment.

In Ju­ly, the com­pa­ny grant­ed Lil­ly the li­cense to de­vel­op its ear­ly-stage drug, CN­TX-0290. Cen­trex­ion’s ex­per­i­men­tal drug, CN­TX-6016 is be­ing test­ed in Phase I stud­ies for use in in­flam­ma­to­ry pain and neu­ro­path­ic pain, while CN­TX-2022 is be­ing eval­u­at­ed for su­per­fi­cial pain.

Since its in­cep­tion in 2013, Cen­trex­ion has raised about $163.5 mil­lion in pri­vate fi­nanc­ings, and its key in­vestors in­clude New En­ter­prise As­so­ci­ates, In­ter­West Part­ners, Quan Cap­i­tal Man­age­ment, Ar­row­mark Part­ners, Clough Cap­i­tal Part­ners, 6 Di­men­sions Cap­i­tal, and Lil­ly Asia Ven­tures.

In Ju­ly, Lil­ly grant­ed Cen­trex­ion $47.5 mil­lion up­front, as well as a po­ten­tial $950 mil­lion in de­vel­op­ment and sales mile­stone pay­ments.

UP­DAT­ED: In a stun­ning turn­around, Bio­gen says that ad­u­canum­ab does work for Alzheimer's — but da­ta min­ing in­cites con­tro­ver­sy and ques­tions

Biogen has confounded the biotech world one more time.

In a stunning about-face, the company and its partners at Eisai say that a new analysis of a larger dataset on aducanumab has restored its faith in the drug as a game-changer for Alzheimer’s and, after talking it over with the FDA, they’ll now be filing for an approval of a drug that had been given up for dead.

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Vas Narasimhan. Getty Images

UP­DAT­ED: Failed PhI­II fe­vip­iprant tri­als pour more cold wa­ter on No­var­tis' block­buster R&D en­gine — and briefly spread the chill to a high-pro­file biotech

Back in July, during an investor call where Novartis execs ran through an upbeat assessment of their Q2 performance, CEO Vas Narasimhan and development chief John Tsai were pressed to predict which of the two looming Phase III readouts — involving cardio drug Entresto and asthma therapy fevipiprant, respectively — had a higher likelihood of success. Tsai gave the PARAGON-HF study with Entresto minimally better odds, but Narasimhan emphasized that their strategy of giving fevipiprant to more severe patients gave them confidence.

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UP­DAT­ED: The FDA sets a reg­u­la­to­ry speed record, pro­vid­ing a snap OK for Ver­tex's break­through triplet for cys­tic fi­bro­sis

The FDA has approved Vertex’s new triplet for cystic fibrosis at a record-setting speed.

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IM­brave150: Roche’s reg­u­la­to­ry crew plans a glob­al roll­out of Tecen­triq com­bo for liv­er can­cer as PhI­II scores a hit

Just weeks after Bristol-Myers Squibb defended its failed pivotal study pitting Opdivo against Nexavar in liver cancer, Roche says it’s beat the frontline challenge with a combination of their PD-L1 Tecentriq with Avastin. And now they’re rolling their regulatory teams in the US, Europe and China in search of a new approval — badly needed to boost a trailing franchise effort.
Given their breakthrough and Big Pharma status as well as the use of two approved drugs, FDA approval may well prove to be something of a formality. And the Chinese have been clear that they want new drugs for liver cancer, where lethal disease rates are particularly high.
Researchers at their big biotech sub, Genentech, say that the combo beat Bayer’s Nexavar on both progression-free survival as well as overall survival — the first advance in this field in more than a decade. We won’t get the breakdown in months of life gained, but it’s a big win for Roche, which has lagged far, far behind Keytruda and Opdivo, the dominant PD-1s that have captured the bulk of the checkpoint market so far.
Researchers recruited hepatocellular carcinoma — the most common form of liver cancer — patients for the IMbrave150 study who weren’t eligible for surgery ahead of any systemic treatment of the disease.
Roche has a fairly low bar to beat, with modest survival benefit for Nexavar, approved for this indication 12 years ago. But they also plan to offer a combo therapy that could have significantly less toxicity, offering patients a much easier treatment regimen.
Cowen’s Steven Scala recently sized up the importance of IMbrave150, noting:

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UP­DAT­ED: Clay Sie­gall’s $614M wa­ger on tu­ca­tinib pays off with solid­ly pos­i­tive piv­otal da­ta and a date with the FDA

Back at the beginning of 2018, Clay Siegall snagged a cancer drug called tucatinib with a $614 million cash deal to buy Cascadian. It paid off today with a solid set of mid-stage data for HER2 positive breast cancer that will in turn serve as the pivotal win Siegall needs to seek an accelerated approval in the push for a new triplet therapy.

And if all the cards keep falling in its favor, they’ll move from 1 drug on the market to 3 in 2020, which is shaping up as a landmark year as Seattle Genetics prepares for its 23rd anniversary on July 15.

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David Liu, Liu Group

David Liu un­veils newest ad­vance­ment in CRISPR tech: Prime edit­ing

The researcher behind base-editing is out with what some scientists are hailing as the biggest advancement in CRISPR technology since that 2016 breakthrough: “prime editing.” The new molecular gadget is capable of erasing any base pair and stenciling in another and cutting or adding long segments of DNA without breaking both strands of the helix.

David Liu, base editing pioneer and founder of Beam Therapeutics, published the findings in Nature alongside Andrew Anzalone. They estimated that the breakthrough “in principle” puts 89% of human diseases in purview — although experts cautioned that human therapies were a long way off.

Bhaskar Chaudhuri. Frazier Healthcare Partners

Fra­zier Health­care Part­ner­s' der­ma­tol­ogy up­start at­tracts a mar­quee syn­di­cate, $94M+ for 'in-be­tween' top­i­cal drug

For the past three years Frazier Healthcare Partners’ Bhaskar Chaudhuri has been carefully and quietly grooming Arcutis Therapeutics, a new dermatology play he co-founded to deliver topical formulations of well-known drugs. Now that the biotech is poised to enter Phase III, he’s being joined by a marquee syndicate for its $94.5 million Series C.

HBM Healthcare Investments, Vivo Capital, BlackRock, Omega Funds, Pivotal BioVentures, and Goldman Sachs jumped on board, joining Bain Capital Life Sciences, OrbiMed and RA Capital Management in backing Arcutis’ lead topical cream for plaque psoriasis.

A new com­pa­ny en­ters the Tec­fidera fight, of­fer­ing to kill two birds

The remedy for the most common side effect for one of the most common multiple sclerosis drugs is simple: aspirin.

Taking aspirin with Biogen’s Tecfidera will reduce the flush, a sometimes painful form of red skin irritation, many patients experiences. The problem is that the aspirin has to be taken at least 30 minutes before Tecfidera, turning a simple twice-a-day, one-dose oral drug into a staggered two-drug regimen.

UP­DAT­ED: Bris­tol-My­ers makes Op­di­vo pitch for front­line lung can­cer with open la­bel PhI­II study

Despite a head start, when Bristol-Myers Squibb and its pioneering checkpoint inhibitor Opdivo suffered a key lung cancer setback in 2016, they found themselves relegated to the backseat as Merck’s Keytruda seized the wheel on the road to immunotherapy stardom. Bristol-Myers has since suffered blow after blow in its quest to take a big slice of the lucrative market, peppered with some small successes. On Tuesday, the New Jersey drugmaker touted positive data from a Phase III open-label study in a bid to carve itself a piece of the frontline lung cancer market.